The management of perineal wounds

Sharma, Ramesh Kumar; Parashar, Atul

doi:10.4103/0970-0358.101318

Cited by 16 publications

(7 citation statements)

References 39 publications

(43 reference statements)

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“…The procedure our patient underwent caused a significantly large defect and required a skin flap to repair and restore the sexual and excretory function of the perineal region. 6 Rapid healing is paramount, and the risk of scar contracture needs to be minimized since the perineal region is highly mobile and at increased risk of infection. Skin grafting is excluded as an option for several reasons.…”

Section: Discussionmentioning

confidence: 99%

The Gluteal Thigh Flap in Hidradenitis Suppurativa Groin Reconstruction: A Case Report

Al-Huzaim

AlAjmi

Ashkanani

et al. 2021

Plastic Surgery Case Studies

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Different methods have been reported to reconstruct groin defects brought about by hidradenitis suppurativa (HS); however, it has been challenging to achieve favourable outcomes that serve both cosmetic and functional purposes. In this report, we present a case of a groin HS defect that was reconstructed using a combination of abdominal flap and gluteal thigh flap (GTF). A 47-year-old female patient underwent extensive excision of the infra-umbilical abdominal and bilateral groin HS, resulting in a defect that was reconstructed using a combination of abdominoplasty, skin grafts, and bilateral GTFs. The use of the GTF in this reconstruction has achieved beneficial outcomes.

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Section: Discussionmentioning

confidence: 99%

The Gluteal Thigh Flap in Hidradenitis Suppurativa Groin Reconstruction: A Case Report

Al-Huzaim

AlAjmi

Ashkanani

et al. 2021

Plastic Surgery Case Studies

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“…Size of the defect combined with rigid bony pelvis favors fluid accumulation which may interfere with wound healing. 1 Ours is one such experience where large 3D surgical defects was given to us for reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Sharma et al recommends gracilis myocutaneous flaps as a viable option to provide the bulk and skin resurfacing for large perineal defects. 1…”

Section: Discussionmentioning

confidence: 99%

Gracilis Myocutaneous Flap: Adding to the Armamentarium of Complex Sacrococcygeal Defect Reconstruction

Rani

Kumar

Singaravelu

et al. 2019

Indian J Plast Surg

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Background With increasing radicality of rectal cancer surgeries, the postoperative defects are becoming more complex. This demands an ideal reconstructive option with minimal morbidity to the patient. Although vertical rectus abdominis myocutaneous (VRAM) flap is the commonly used flap, gracilis myocutaneous flap is increasingly being performed to avoid morbidity associated with VRAM flap. Results We share our experience about two of our patients treated for rectal malignancy with pelvic exenteration who were reconstructed immediately with pedicled gracilis myocutaneous flap. Both the patients had an uneventful postoperative recovery period and were discharged on postoperative day 10. During follow-up period both patients had a healthy flap with no evidence of recurrence. No perineal hernias or gross dehiscence of skin closure occurred. Conclusion Gracilis myocutaneous flap has its own place with unique advantages adding to the armamentarium of reconstructive options for complex perineal defects, thereby avoiding the morbidity associated with VRAM flap. It stands as a reliable alternative in patients where VRAM cannot be used.

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“…These wounds usually occur after tumor excision, urogynecological procedures after trauma or as a result of infectious pathologies such as hideradenitis suppurativa or after thermal burns. 14 Complications of perineal wound are a long-term problem for patients with abdominoperineal resection (APR). Complication rates as high as 60% have been reported, with the most common complication being delayed perineal wound healing.…”

Section: Post-surgery Wound Healing Mechanismmentioning

confidence: 99%

The Role of Regenerative Medicine in Wound Healing in Cases of Vesicovaginal Fistulae

Kurniawati

Rahmawati

2021

J. Drug Delivery Ther.

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Background: Post-surgical wound healing in cases of vesicovaginal fistulae is a challenge because it is related to infection prevention and the long-term well-being of women. Aim: The aim of this research was to critically review the application of regenerative medicine in wound healing. The next aim was to look in depth to see whether regenerative medicine strategies have a place in the future of wound healing in a clinical setting. More specifically, to see if these strategies would apply for vesico vaginal fistulae case in the field of urogynecology. Method: A narrative literature review examines several previous research published at the last 5 years, containing keywords, namely vesicovaginal fistulae, regenerative medicine, wound healing. We used databases from Google Scholar, PubMed and Scopus Database. Results: A vesicovaginal fistula is an abnormal communication between the bladder and the vagina. There are currently no precise guidelines for the postoperative management of patients after fistula repair. Transvaginal surgical procedures are a common solution for vesicovaginal fistulas. In wound healing, more attention is needed because of the risk of infection especially wound healing in the area of the reproductive organs. It should also be noted that stress urinary incontinence is a common complication. Several studies have initiated the trial process of regenerative medicine for using in urogynecological cases. Conclusion: In the management of vesico vaginal fistula cases, regenerative medicine can be a solution in postoperative care but still needs further development and standardization. Keywords: placenta, urogynecology, regenerative medicine

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The management of perineal wounds

Cited by 16 publications

References 39 publications

The Gluteal Thigh Flap in Hidradenitis Suppurativa Groin Reconstruction: A Case Report

The Gluteal Thigh Flap in Hidradenitis Suppurativa Groin Reconstruction: A Case Report

Gracilis Myocutaneous Flap: Adding to the Armamentarium of Complex Sacrococcygeal Defect Reconstruction

The Role of Regenerative Medicine in Wound Healing in Cases of Vesicovaginal Fistulae

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